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Client control orientation is modeled as a force on program completion in alcohol treatment programs. A representative sample of adult alcohol abusers entering all state-funded programs in Missouri was recruited into the study and administered a pre-treatment interview including a locus of control scale. Official program records of completion and reason for non-completion were also accessed. The theoretical advantage of internal control orientation on client outcomes post-treatment was mitigated by its inverse relationship to a desire to change and to program completion. Possible reasons for an effect of locus of control on retention in program are explored. [ABSTRACT FROM AUTHOR]

This paper reports on two surveys commissioned by the State of Missouri, Division of Drug and Alcohol Abuse, to begin the assessment of state supported treatment programs. The first survey, commissioned in 1989, was a retrospective study conducted a full year after the sample frame was discharged from treatment. The study was based primarily on client self-reports gleaned from a telephone survey. The process and products of this study led to substantial changes in the methodology employed in an ongoing three-year prospective study commissioned in 1991. This paper will discuss the results of the original survey, detail how this experience has shaped the prospective study, and briefly compare preliminary data, particularly response rates and the representativeness of the two samples. [ABSTRACT FROM AUTHOR]

Case management has become a popular method of service delivery in many human service fields, including mental health and alcohol and drug treatment. By focusing on the problems in living faced by clients, this style of helping has direct relevance for those who seek employee assistance services and those that sponsor them. Additionally, by embodying a generalist perspective, case managers are also adroit at assessing problems that emanate from organizational structure and culture. This paper explicates the philosophy of strengths-based case management services and offers practical examples of the case management process. [ABSTRACT FROM AUTHOR]

Case management has been identified as an important addition to traditional services offered in drug and alcohol treatment. Implementation of case-management services requires a new array of managerial behaviors by middle managers. The Missouri Department of Mental Health, Division of Alcohol and Drug Abuse, introduced case management as a central component of the innovative Comprehensive Substance Treatment and Rehabilitation Program. The authors, drawing from the experience in Missouri, describe the challenge of effectively implementing case management in existing programs. [ABSTRACT FROM AUTHOR]

Empirical research indicates that posttreatment factors, including employment, residential stability, and social and family support, influence the resiliency of treatment outcomes. The degree to which current treatment methods affect such outcomes is the subject of much research and debate. The authors argue that case management should be considered complementary to traditional treatment services. By focusing directly on community functioning and social rehabilitation, case management can positively affect factors associated with relapse and alcohol-related problems. A strengths-based, outreach model of case management is described. [ABSTRACT FROM AUTHOR]